MISS CRYSTAL RENEE NELSON (NPI# 1144648460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144648460 |
| Entity Type | Individual |
| Full Name | MISS CRYSTAL RENEE NELSON |
| Credential | MSED, ATC, LAT |
| Practice Address |
1140 College Dr Box 563 Pineville LA 71359-1000 |
| Practice Telephone | 3184877792 |
| Mailing Telephone | 3184877792 |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
ATH.200163 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801348487 | Crystal Nelson | Behavioral Analyst | 4359 Kukui Grove St Ste 102, Lihue, HI 96766-2008 | 2016-10-28 |
| 1861899791 | Crystal D Nelson | Licensed Practical Nurse | 9224 S Las Lomitas St, Phoenix, AZ 85042-7718 | 2014-11-20 |
| 1437409901 | Crystal A Nelson | Physician Assistant | 9350 E 35th St N, Ste 101, Wichita, KS 67226 | 2012-09-12 |
| 1366766107 | Crystal Nelson | Preventive Medicine | 345 11th St W, West Fargo, ND 58078-1400 | 2010-03-23 |
| 1154899045 | Crystal Nelson | Occupational Therapist | 1930 E 12th St, Casper, WY 82601-4075 | 2018-11-08 |
| 1932497344 | Crystal Nelson | Marriage & Family Therapist | 7300 147th St W, Suite 204, Apple Valley, MN 55124-7541 | 2011-07-19 |
| 1437356870 | Crystal Lewis Nelson | Psychiatry & Neurology | 1841 Clifton Rd Ne, Atlanta, GA 30329-4021 | 2007-06-29 |
| Street Address |
1140 COLLEGE DR BOX 563 |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71359-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831298793 | Kathi L Burns | Specialist | 1140 College Dr, Pineville, LA 71359-1000 | 2006-09-21 |
| 1114450582 | Samantha Renee Rios | Specialist/Technologist | 1140 College Dr, Pineville, LA 71360-5122 | 2017-04-04 |
| 1689023731 | Joshua Edwards | Counselor | 1140 College Dr, Pineville, LA 71360-5122 | 2016-06-09 |
| 1447646807 | Michael Brunet II | Specialist/Technologist | 1140 College Dr, Pineville, LA 71359-1000 | 2015-04-13 |
| 1326466954 | Louisiana College | Clinic/Center | 1140 College Dr, Box 563, Pineville, LA 71359-1000 | 2014-04-01 |
| 1427357383 | Loving Care-nurse Led Clinic, LLC | Nurse Practitioner | 1140 College Dr, Pineville, LA 71360-5122 | 2011-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871704965 | Dina B Leighton | Rehabilitation Practitioner | 1140 College Ave Lc College Pool, C/o Pe Dept Dr Spears, Pineville, LA 71359 | 2007-05-24 |
| 1730604588 | Hannah J Gates | Specialist/Technologist | 1140 College Drive Box 563, Pineville, LA 71359-0001 | 2017-08-12 |
| 1659308633 | Damon Ogle | Massage Therapist | La College 1140 College Dr., Pineville, LA 71359-0505 | 2006-06-27 |
| 1740713528 | Lakyn Miller | Specialist/Technologist | 1140 College Dr # 563, Pineville, LA 71359-1000 | 2017-04-07 |
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730604588 | Hannah J Gates | Specialist/Technologist | 1140 College Drive Box 563, Pineville, LA 71359-0001 | 2017-08-12 |
| 1740713528 | Lakyn Miller | Specialist/Technologist | 1140 College Dr # 563, Pineville, LA 71359-1000 | 2017-04-07 |
| 1922586742 | Elena St. Onge | Specialist/Technologist | 9101 Pineville Matthews Rd Ste D, Pineville, NC 28134-8826 | 2018-08-02 |
| 1225543531 | Charles Bobby Partin | Specialist/Technologist | 103 S Pine St, Pineville, KY 40977-1610 | 2017-12-08 |
| 1114450582 | Samantha Renee Rios | Specialist/Technologist | 1140 College Dr, Pineville, LA 71360-5122 | 2017-04-04 |
| 1447646807 | Michael Brunet II | Specialist/Technologist | 1140 College Dr, Pineville, LA 71359-1000 | 2015-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848116 | Kerry Michael Ruiz | Specialist/Technologist | 2378 Kensington Dr, Baton Rouge, LA 70809-1210 | 2020-10-14 |
| 1013514710 | Jody Powell | Specialist/Technologist | 1600 Arizona Ave, Monroe, LA 71202-3602 | 2020-10-06 |
| 1336755495 | Kevin Keys | Specialist/Technologist | 106 Tomahawk Dr, Lafayette, LA 70503-6606 | 2020-09-23 |
| 1770199531 | Ryan Petrossi | Specialist/Technologist | 11959 Nicholson Dr Apt 17304, Baton Rouge, LA 70810-7626 | 2020-09-17 |
| 1285240028 | Cecilia Kieliszewski | Specialist/Technologist | 308 Warhawk Way Ulm Athletics Department, Monroe, LA 71209-0001 | 2020-09-17 |
| 1659985596 | Jake Bradley Lipps | Specialist/Technologist | 40068 Davis Dr, Ponchatoula, LA 70454-6410 | 2020-09-08 |
| 1942811773 | William Connor Sinclair | Specialist/Technologist | 12019 Fairview Way, Saint Francisville, LA 70775-7464 | 2020-08-14 |
| 1336750306 | Margaret Anne Schladenhauffen | Specialist/Technologist | 131 S Jeff Davis Pkwy Unit 100, New Orleans, LA 70119-6227 | 2020-08-13 |
| 1457962847 | Alexa Yanez | Specialist/Technologist | 936 Elmeer Ave, Metairie, LA 70005-1612 | 2020-08-11 |
| 1609486885 | Jasmine Joane Anderson | Specialist/Technologist | 1228 S Genois St, New Orleans, LA 70125-1724 | 2020-08-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.